<div class="text-box" >

<form action="<?php echo url_for( 'book/step1' )?>" method="POST" >
<table class="booking">
    <thead>
        <tr>
            <th colspan="4"><h2><?php echo __('booking_process step') ?> 2 / 4 - <?php echo __('personal_details') ?></h2><br/></th>
        </tr>
    </thead>
    <tbody>
        <tr>
            <th>
                <?php echo $step1['title']->renderLabel() ?>
            </th>
            <td>
                <?php echo $step1['title']->renderError() ?>    
                <?php echo $step1['title'] ?>    
            </td>
            <th>
                <?php echo $step1['address']->renderLabel() ?>
            </th>
            <td rowspan = "2">
                <?php echo $step1['address']->renderError() ?>
                <?php echo $step1['address'] ?>
            </td>
        </tr>
        <tr>
            <th>
                <?php echo $step1['first_name']->renderLabel() ?>
            </th>
            <td>
                <?php echo $step1['first_name']->renderError() ?>    
                <?php echo $step1['first_name'] ?>    
            </td>
        </tr>
        <tr>
            <th>
                <?php echo $step1['last_name']->renderLabel() ?>
            </th>
            <td>
                <?php echo $step1['last_name']->renderError() ?>    
                <?php echo $step1['last_name'] ?>    
            </td>
            <th>
                <?php echo $step1['city']->renderLabel() ?>
            </th>
            <td>
                <?php echo $step1['city']->renderError() ?>    
                <?php echo $step1['city'] ?>    
            </td>        
        </tr>
        <tr>
            <th>
                <?php echo $step1['birth_name']->renderLabel() ?>
            </th>
            <td>
                <?php echo $step1['birth_name']->renderError() ?>    
                <?php echo $step1['birth_name'] ?>    
            </td>            
            <th>
                <?php echo $step1['state']->renderLabel() ?>
            </th>
            <td>
                <?php echo $step1['state']->renderError() ?>    
                <?php echo $step1['state'] ?>    
            </td>        
        </tr>
        <tr>
            <th>
                <?php echo $step1['email']->renderLabel() ?>
            </th>
            <td>
                <?php echo $step1['email']->renderError() ?>    
                <?php echo $step1['email'] ?>    
            </td>
            <th>
                <?php echo $step1['zip']->renderLabel() ?>
            </th>
            <td>
                <?php echo $step1['zip']->renderError() ?>    
                <?php echo $step1['zip'] ?>    
            </td>        
        </tr>
        <tr>
            <th>
                <?php echo $step1['phone']->renderLabel() ?>
            </th>
            <td>
                <?php echo $step1['phone']->renderError() ?>    
                <?php echo $step1['phone'] ?>    
            </td>
            <th>
                <?php echo $step1['country']->renderLabel() ?>
            </th>
            <td>
                <?php echo $step1['country']->renderError() ?>    
                <?php echo $step1['country'] ?>    
            </td>        
        </tr>
        <tr>
            <th>
                <?php echo $step1['fax']->renderLabel() ?>
            </th>
            <td>
                <?php echo $step1['fax']->renderError() ?>    
                <?php echo $step1['fax'] ?>    
            </td>
        </tr>
        <tr>
            <th>
                <?php echo $step1['cellphone']->renderLabel() ?>
            </th>
            <td>
                <?php echo $step1['cellphone']->renderError() ?>    
                <?php echo $step1['cellphone'] ?>    
            </td>            
        </tr>
    </tbody>
    <tfoot>
        <tr>
            <td colspan="4">
                <input class="golden-button" type="submit" value="<?php echo __('proceed' ) ?>" >
            </td>
        </tr>
    </tfoot>
</table>
</form>
</div>
<center><img class="motivum" src="/images/motivum.gif" name="motivum" width="93" height="24" /></center>